MEDICARE: WUJU DUKJA CHUN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD15722R	LA
2	207R00000X	Internal Medicine Physician	ME146474	FL
3	207RI0200X	Infectious Disease Physician	M0621	TX
4	208M00000X	Hospitalist Physician	M0621	TX
5	208M00000X	Hospitalist Physician	ME146474	FL
6	207R00000X	Internal Medicine Physician	M0621	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134105752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WUJU DUKJA CHUN M.D.

Provider Business Mailing Address
First Line	:	12211 LAGUNA TERRACE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6176
Country	:	US
Telephone Number	:	832-341-5229
Fax Number	:

Provider Business Practice Location Address
First Line	:	12211 LAGUNA TERRACE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77041-6176
Country	:	US
Telephone Number	:	832-341-5229
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	11/12/2024

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Directions to “ WUJU DUKJA CHUN M.D.” Practice Location

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